DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GAUTAM BALAKRISHNAN, MD

Active Sole Proprietor

DR. GAUTAM BALAKRISHNAN, MD is a Pulmonary Disease healthcare provider located in SAINT JOSEPH, Missouri. NPI 1609214519 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · SAINT JOSEPH, MO

Registration Details

NPI Number
1609214519
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2013 (13.165492322622 yrs)
Last Updated
May 26, 2021
Licenses
R9809 (IA)
2016023333 (MO)
Sole Proprietor
Yes

Practice Information

Address
5301 FARAON ST STE 210B
SAINT JOSEPH, MO, 64506
Browse MO providers · Browse ZIP 64506
Phone
8162711385
Fax
8162711379
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease

Other Pulmonary Disease Providers in SAINT JOSEPH, MO

Name Credential NPI
DR. NANCY L BRECHEISEN M.D. 1336171701
DR. RANDALL E MITCHEM D.O. 1609808781
DR. HEMANT K SHETH M.D., F.C.C.P. 1134140270
DR. ASAD WASEEM KABIR MD 1205067154
BADR JANDALI MD 1891083382
DR. MOHANNAD NAHEID I ABU OMAR M.D 1598011694
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.